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Health Care Access, Costs, and Treatment Dynamics: Evidence from In Vitro Fertilization

American Economic Review 2018 108(12), 3725-3777 open access
We study public policies designed to improve access and reduce costs for in vitro fertilization (IVF). High out-of-pocket prices can deter potential patients from IVF, while active patients have an incentive to risk costly high-order pregnancies to improve their odds of treatment success. We analyze IVF's rich choice structure by estimating a dynamic model of patients' choices within and across treatments. Policy simulations show that insurance mandates for treatment or hard limits on treatment aggressiveness can improve access or costs, but not both. Insurance plus price-based incentives against risky treatment, however, can together improve patient welfare and reduce medical costs.

The Importance of Information Targeting for School Choice

American Economic Review 2017 107(5), 638-643 open access
Although school choice programs are common, we know little about the underlying decision-making processes. In this study, we randomly assigned 900 junior high schools in Ghana, a country with universal secondary school choice, to 1 of 3 treatment arms: (1) information to students, (2) information to students and guardians, and (3) control group. We observe changes in beliefs, behaviors, and the decision maker's identity through a survey of guardians. Our intervention increased the likelihood that guardians were involved with and informed about the school selection process. Moreover, specifically targeting guardians led to significantly larger changes for most outcomes.

A Comprehensive Approach to Revealed Preference Theory

American Economic Review 2017 107(4), 1239-1263
We develop a version of Afriat's theorem that is applicable in a variety of choice environments beyond the setting of classical consumer theory. This allows us to devise tests for rationalizability in environments where the set of alternatives is not the positive orthant of a Euclidean space and where the rationalizing utility function is required to satisfy properties appropriate to that environment. We show that our results are applicable, amongst others, to choice data on lotteries, contingent consumption, and intertemporal consumption.

Offshoring and Volatility: Evidence from Mexico's Maquiladora Industry

American Economic Review 2009 99(4), 1664-1671
This paper studies the second-moment properties of offshoring, the arrangement whereby firms carry out particular stages of production abroad. It documents a new empirical regularity: maquiladora industries in Mexico that are associated with US offshoring experience fluctuations in employment that are twice as volatile as the corresponding industries in the United States. This finding is not attributable simply to higher volatility in the overall Mexican economy, nor to the smaller size of Mexico's industries compared to US counterparts.

Made in America? The New World, the Old, and the Industrial Revolution

American Economic Review 2008 98(2), 523-528 open access
For two decades, the consensus explanation of the British Industrial Revolution has placed technological change and the supply side at center stage, affording little or no role for demand or overseas trade. Recently, alternative explanations have placed an emphasis on the importance of trade with New World colonies, and the expanded supply of raw cotton it provided. We test both hypotheses using calibrated general equilibrium models of the British economy and the rest of the world for 1760 and 1850. Neither claim is supported. Trade was vital for the progress of the industrial revolution; but it was trade with the rest of the world, not the American colonies, that allowed Britain to export its rapidly expanding textile output and achieve growth through extreme specialization in response to shifting comparative advantage.